Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760068803 Individual Practitioner Female Practitioner

Mallory Walters , BCBA

Behavior Analyst • East Peoria, IL

Professional Overview & Biography Verified Profile Summary

Mallory Walters, BCBA is a registered healthcare professional specializing in Behavior Analyst in East Peoria, IL. Practice services are available at 138 FIELD GROVE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

138 Field Grove Ct

East Peoria, IL 616114323

Telephone 7137327049

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in East Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
3 Specialists

Practicing in East Peoria, IL (3105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License IL 1-22-59328

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

9374 Olive Blvd Ste 101

Olivette, MO 631323253

Phone: 3149322402

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 07, 2024

Registered at 138 FIELD GROVE CT, EAST PEORIA, IL 616114323 (Tel: 7137327049)

📍
Updated Business Mailing Address June 07, 2024

Registered at 138 FIELD GROVE CT, EAST PEORIA, IL 616114323 (Tel: 7137327049)

👤
Provider Name / Credentials Updated June 07, 2024

Recorded as MALLORY WALTERS, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Behavior Analyst (License #1-22-59328 in IL)

NPI Profile Active March 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2021

Registered at 9374 OLIVE BLVD STE 101, OLIVETTE, MO 631323253 (Tel: 3149322402)

📍
Updated Business Mailing Address March 19, 2021

Registered at 9374 OLIVE BLVD STE 101, OLIVETTE, MO 631323253

👤
Provider Name / Credentials Updated March 19, 2021

Recorded as MALLORY NICHOLSON, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2021

Behavior Technician (License #RBT-20-147485 in MO)

🟢
Initial NPI Registration & Enumeration March 19, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760068803
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2021
Last Update: June 07, 2024
Sole Proprietor: No

Mailing Address

138 Field Grove Ct

East Peoria, IL 616114323

Phone: 7137327049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.